Preview

"Arterial’naya Gipertenziya" ("Arterial Hypertension")

Advanced search

Antihypertensive and cerebroprotective effects of Egiloc retard in hypertensive patients with chronic hypertensive encephalopathy

https://doi.org/10.18705/1607-419X-2009-15-1-50-56

Abstract

Aim. The study addresses antihypertensive and cerebroprotective effects of long acting metoprolol (Egiloc retard, Egis, Hungary). Materials and methods. 47 objects with I-II stages of hypertension without serious concomitant diseases (25 males and 22 females, average age 51,7 ± 10,6 years) were included. Long acting metoprolol was administered (Egiloc retard, Egis, Hungary) in a dose of 25-100 mg given 1-2 times per day. 24-hour ambulatory blood pressure monitoring (ABPM), magnetic resonance tomography and dynamic contrast-enhanced perfusion computer scan of the brain with brain blood flow estimation were performed in all patients initially and after 6-month-therapy. Results. Egiloc retard showed a significant antihypertensive effect according to office and ABPM blood pressure. Egiloc retard normalizes 24-hour blood pressure profile in over-dippers and night-peakers. Subjective amelioration and improvement of functional and structural changes were found in hypertensive patients after 6-month therapy by Egiloc retard. Good tolerance and no significant abnormal changes of glucose and lipid metabolism were observed in patients taking Egiloc retard. It is also shown that Egiloc retard has the cerebroprotective effects.

About the Authors

N. L. Afanasieva
Academic Institute of Cardiology
Russian Federation


A. M. Rusina
Academic Institute of Cardiology
Russian Federation


V. F. Mordovin
Academic Institute of Cardiology
Russian Federation


References

1. Lawes CM, Bennet DA, Feigin VL, Rodgers A. Blood pressure and stroke: an overview of published reviews. Stroke. 2004;35:776-85.

2.

3. Rasbid P, Leonardi-Bee J, Bath P. Blood pressure reduction and secondary prevention of stroke and other vascular events: a systematic review. Stroke. 2003;34:2741-8.

4.

5. Выдержка из приказа министерства здравоохранения РФ от 24.01.2003 №4.

6.

7. Чазова И.Е., Бойцов С.А., Небиеридзе Д.В. Основные положения проекта второго пересмотра рекомендаций ВНОК по профилактике, диагностике и лечению артериальной гипертензии. Кардиоваск. Тер. Профилакт. 2004;4:90-8.

8.

9. Wittsack H.-J. StrokeTool-CT. Manual. Koeln.: DigitalImageSolutions; 2006. 45.

10.

11. Dahlöf B, Lindholm LH, Hansson L, Scherstén B, Ekbom T, Wester PO. Morbidity and mortality in the swedish trial in old patients with hypertension (STOP-Hypertension). Lancet. 1991;338:281-5.

12.

13. Olsson G, Tuomilehto J, Berglund G, Elmfeldt D, Warnold I, Barber H, et al. Primary prevention of sudden cardiovascular death in hypertensive patients. Mortality results from the MAPHY study. Am J Hypertens. 1991;4:151-8.

14.

15. Pepine CJ, Handberg EM, Cooper-DeHoff RM, Marks RG, Kowey P, Messerli FH, et al. A calcium antagonist vs a non-calcium antagonist hypertension treatment strategy for patients with coronary artery disease. The International Verapamil-Trandolapril Study (INVEST): a randomized controlled trial. JAMA. 2003;290:2805-16

16.

17. Wilhelmsen L, Berglund G, Elmfeldt D. Beta-blockers versus diuretics in hypertensive men: main results from HAPPHY trial. J Hypertens. 1987;5:561-72.

18.

19. Khan MG. Cardiac drug therapy. 6-th edition, Saunders, USA.

20.

21. Глезер М.Г., Глезер Г.А. Справочник по фармакотерапии сердечно-сосудистых заболеваний. М.: Авиценна; 1996. 564 с.

22.

23. Prichard BNC, Gillam PMS. Use of propranolol (Inderal) in treatment of hypertension. Br Med J. 1964;II:725-7.

24.

25. Dahlöf B, Devereux RB, Kjeldsen SE, Julius S, Beevers G, de Faire U, et al. For LIFE study group. Cardiovascular morbidity and mortality in the losartan intervention for endpoint reduction in hypertension study (LIFE): a randomized trial against atenolol. Lancet. 2002;359:995-1003.

26.

27. Dahlöf B, Sever PS, Poulter NR, Wedel H, Beevers DG, Caulfield M, et al., for the ASCOT Investigators. Prevention of cardiovascular events with an antihypertensive regimen of amlodipine adding perindopril as required versus atenolol adding bendroflumethiazide as required, in the Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA): a multicentre randomised controlled trial. Lancet. 2005;366(9489):895-906.

28.

29. Wiysonge CS, Bradley H, Mayosi BM, Maroney R, Mbewu A, Opie LH, et al. Beta-blockers for hypertension. Cochrane Database Syst Rev. 2007;1:CD002003.

30.

31. Белоусов Ю.Б., Леонова М.В., Ерофеева С.Б. Гипотензивная эффективность новой лекарственной формы метопролола замедленного высвобождения у больных с артериальной гипертонией. Consilium medicum. 2004;6(1) [электронный ресурс] http://www.consilium-medicum.com/magazines/magazines/special/gypertens/article/10295.

32.

33. Fagard R, Staessen JA, Thijs L. The relationship between left ventricular mass and day-time and night-time blood pressure: a meta-analysis of comparative studies. J Hypertens. 1995;13:823-9.

34.

35. Лишманов Ю.Б. Радионуклидная диагностика для практических врачей. Томск STT, 2004;394:8.

36.

37. Lechner H, Schmidt R, Bertha G, Justich E, Offenbacher H, Schneider G. Nuclear magnetic resonance image white matter lesions and risk factors for stroke in normal individuals. Stroke. 1988;19(2):263-5.

38.

39. Dziedzic T, Slowik A, Pera J, Szczudlik A. Beta-blockers reduce the risk of early death in ischemic stroke. J Neurol Sci. 2007;252(1):53-6.

40.

41. Ю.А. Карпов. Европейские рекомендации по артериальной гипертонии 2007г.: b-блокаторы остались в первой пятерке. Русский медицинский журнал. 2007;15(20): 1412-20.

42.

43. Hedblad B, Wikstrand J, Janzon L, Wedel H, Berglund G. Low dose metoprolol CR/XL and fluvastatin slow progression of carotid intima-media thickness: main results from the Beta-Blocker Cholesterol-Lowering Asymptomatic Plaque Study (BCAPS). Circulation. 2001;103:1721-6.

44.

45. Wiklund O, Hulthe J, Wikstrand J, Schmidt C, Olofsson S-O, Bondjers G. Effect of controlled release/extended release metoprolol on carotid intima-media thickness in patients with hypercholesterolemia: a 3-year randomized study. Stroke. 2002;33:572-7.


Review

For citations:


Afanasieva N.L., Rusina A.M., Mordovin V.F. Antihypertensive and cerebroprotective effects of Egiloc retard in hypertensive patients with chronic hypertensive encephalopathy. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2009;15(1):50-56. (In Russ.) https://doi.org/10.18705/1607-419X-2009-15-1-50-56

Views: 1069


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)